MIRAJ G SHAH-KHAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045781

License Status

CANCELLED

Business

First Name

MIRAJ

Middle

Last Name

SHAH-KHAN

Suffix

Business Name

MIRAJ G SHAH-KHAN MD

Original Issue Date

06/27/2005

Effective Date

06/27/2005

Expiration Date

06/26/2008

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006